5V3-14630-21909
1 vaccination
4 coded responses
15 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 670 / KS
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Pfizer-BioNTech
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
-
2021-02-23
Survey response — day 21, dose 1MedDRA: Antibiotic therapy, Lung disorder, X-ray — Feeling: GoodFree text: X ray shows spot on lung today. Will do antibiotics and then decide when to have second shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — day 28, dose 1MedDRA: Cough — Feeling: GoodFree text: unrelated to COVID shot, persistent cough starting well before COVID shot, exam CT scan abnormal, started 10 day antibiotic and will be re-evaluated before getting second COVID shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
-
2021-05-04
Survey response — 3 months, dose 1MedDRA: Biopsy lung abnormal, Lung neoplasm malignant, Non-small cell lung cancer — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Biopsy shows invasive non small cell carcinoma in right lungMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-03
Survey response — 6 months, dose 1MedDRA: Non-small cell lung cancer — Feeling: GoodFree text: invasive non-small cell lung cancer. results of 3 biopsyfrom upper digestive tract pendingMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 21, dose 1
Symptoms: X ray shows spot on lung today. Will do antibiotics and then decide when to have second shot
Release 4 — day 28, dose 1
Symptoms: unrelated to COVID shot, persistent cough starting well before COVID shot, exam CT scan abnormal, started 10 day antibiotic and will be re-evaluated before getting second COVID shot.
Release 8 — 3 months, dose 1
Symptoms: Biopsy shows invasive non small cell carcinoma in right lung
Release 9 — 6 months, dose 1
Symptoms: invasive non-small cell lung cancer. results of 3 biopsyfrom upper digestive tract pending
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Antibiotic therapy | ✓ | ✓ | ✓ |
| SD | Biopsy lung abnormal | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Lung disorder | ✓ | ✓ | ✓ |
| SD | Lung neoplasm malignant | ○ | ✓ | ○ |
| SD | Non-small cell lung cancer | ✓ | · | ✓ |
| SD | X-ray | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release